Ortho wrst/hnd w/jnt cstm w/fit&adj at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$295.27
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$1,747.20
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$252.47 with United Healthcare vs $2,112.17 with Wellcare — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Community Plan | $252.47 | ↓ -14% |
| Fidelis Care | NJ Family Care | $259.63 | ↓ -12% |
| Aetna | Better Health | $276.40 | ↓ -6% |
| United Healthcare | Oxford Commercial | $499.69 | ↑ +69% |
| United Healthcare | Oxford Metro | $499.69 | ↑ +69% |
| Amerihealth | Local Value | $499.69 | ↑ +69% |
| Amerihealth | Regional Preferred | $499.69 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $499.69 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $499.69 | ↑ +69% |
| United Healthcare | Nexus | $499.69 | ↑ +69% |
| United Healthcare | Commercial | $499.69 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $499.69 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $499.69 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $499.69 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $506.68 | ↑ +72% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $506.68 | ↑ +72% |
| Qualcare Inc | HMO/PPO/WC | $576.57 | ↑ +95% |
| Aetna | PPO | $576.57 | ↑ +95% |
| Aetna | HMO | $576.57 | ↑ +95% |
| Cigna | HMO | $594.04 | ↑ +101% |
| Cigna | PPO | $594.04 | ↑ +101% |
| Cigna | Local Plus | $594.04 | ↑ +101% |
| Wellpoint | NJ Family Care | $668.52 | ↑ +126% |
| First Health | Commercial | $1,048.32 | ↑ +255% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,061.39 | ↑ +259% |
| Wellpoint | Medicare Advantage | $1,061.39 | ↑ +259% |
| Humana | Medicare | $1,061.39 | ↑ +259% |
| Clover Health | Medicare Advantage | $1,061.39 | ↑ +259% |
| Aetna | Medicare | $1,061.39 | ↑ +259% |
| Fidelis Care | Medicare Advantage | $1,061.39 | ↑ +259% |
| United Healthcare | Medicare | $1,082.62 | ↑ +267% |
| Emblem Health | Commercial | $1,857.43 | ↑ +529% |
| Wellcare | Ambetter Health Commercial | $2,112.17 | ↑ +615% |
Visitor-reported prices
Comments
Ortho wrst/hnd w/jnt cstm w/fit&adj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $327.94 | $631.38 – $2,112.17 |
| Cooperman Barnabas Medical Center | Livingston | $264.45 | $1,061.39 – $2,122.78 |
| Community Medical Center | Toms River | $258.83 | $1,061.39 – $2,112.17 |
| Clara Maass Medical Center | Belleville | $248.22 | $1,061.39 – $2,112.17 |
| Newark Beth Israel Medical Center | Newark | $259.95 | $649.95 – $2,112.17 |
| Jersey City Medical Center | Jersey City | $259.33 | $817.08 – $2,112.17 |
| Monmouth Medical Center | Long Branch | $273.06 | $1,061.39 – $2,112.17 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $286.36 | $1,061.39 – $2,112.17 |